ACTIVE FAMILY HEALTHCARE PLLC
NPI: 1063764462
· COEUR D ALENE, ID 83815
· Family Medicine Physician
· NPI assigned 10/09/2012
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | FLETCHER, JENNIFER (OWNER NURSE PRACTIONER) |
| NPI Enumeration Date | 10/09/2012 |
Related Entities
Other providers sharing the same authorized official: FLETCHER, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$720.69 |
| 2019 |
56 |
$3K |
| 2020 |
255 |
$15K |
| 2021 |
548 |
$35K |
| 2022 |
620 |
$40K |
| 2023 |
162 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,239 |
1,074 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
329 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$936.52 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$675.93 |